| NPI | 1760505606 |
|---|---|
| Other Name | MICHAEL J GENGLE DDS LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GENGLE Member 623-878-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |